| NPI | 1043359284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A76783) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA a76783) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-01-25 |